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Individual

JENNY P DEGNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, ATC

Contact information

Practice address
805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL 35205-1636
(205) 939-3699
(205) 484-2585
Mailing address
805 SAINT VINCENTS DR, SUITE 100, BIRMINGHAM, AL 35205-1636
(205) 939-3699
(205) 484-2585

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
010602054
AL
363A00000X
Physician Assistant
Primary
PA618
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106435
AL
Enumeration date
10/08/2008
Last updated
05/05/2025
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